Provider Demographics
NPI:1831587294
Name:AUDIOLOGY INVESTMENT GROUP, LLC
Entity type:Organization
Organization Name:AUDIOLOGY INVESTMENT GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VESELY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:870-741-7868
Mailing Address - Street 1:2800 W GARTON RD
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-9024
Mailing Address - Country:US
Mailing Address - Phone:870-741-7868
Mailing Address - Fax:870-741-0105
Practice Address - Street 1:262 S MOUNT AUBURN RD
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-4918
Practice Address - Country:US
Practice Address - Phone:870-741-7868
Practice Address - Fax:870-741-0105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty